Provider Demographics
NPI:1174080709
Name:SCHROEDER, MARIANNE REES (RD)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:REES
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2585 CLAY ST APT 5
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-1837
Mailing Address - Country:US
Mailing Address - Phone:650-224-7370
Mailing Address - Fax:
Practice Address - Street 1:2585 CLAY ST APT 5
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-1837
Practice Address - Country:US
Practice Address - Phone:650-224-7370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-01
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86016900133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered